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中华腔镜外科杂志(电子版)

中华腔镜外科杂志(电子版) ›› 2024, Vol. 17 ›› Issue (03) : 189 -192. doi: 10.3877/cma.j.issn.1674-6899.2024.03.013

病例报告

腹壁整形术后腹腔镜新脐入路治疗卵巢肿物的安全性探讨
刘庭秀1, 刘新敏2, 刘莹2, 隋娟2, 武宇2, 赵瑜敬2, 毕红2, 孙雪梅3, 范秀华2,†()   
  1. 1. 100053　北京，中国中医科学院广安门医院妇科；100029　北京，北京中医药大学
    2. 100053　北京，中国中医科学院广安门医院妇科
    3. 130117　长春，长春中医药大学
  • 收稿日期:2024-04-10 出版日期:2024-06-30
  • 通信作者: 范秀华
  • 基金资助:
    中国科学院科技创新工程(CI2021A02415)

Discuss the safety and feasibility of laparoscopic oophorectomy approach after abdominoplasty

Tingxiu Liu1, Xinmin Liu2, Ying Liu2, Juan Sui2, Yu Wu2, Yujing Zhao2, Hong Bi2, Xuemei Sun3, Xiuhua Fan2,†()   

  1. 1. Department of Gynecology, Guang′anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China; Beijing University of Chinese Medicine, Beijing 100029, China
    2. Department of Gynecology, Guang′anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
    3. Changchun University of Chinese Medicine, Changchun 130117, China
  • Received:2024-04-10 Published:2024-06-30
  • Corresponding author: Xiuhua Fan
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引用本文：

刘庭秀, 刘新敏, 刘莹, 隋娟, 武宇, 赵瑜敬, 毕红, 孙雪梅, 范秀华. 腹壁整形术后腹腔镜新脐入路治疗卵巢肿物的安全性探讨[J]. 中华腔镜外科杂志(电子版), 2024, 17(03): 189-192.

Tingxiu Liu, Xinmin Liu, Ying Liu, Juan Sui, Yu Wu, Yujing Zhao, Hong Bi, Xuemei Sun, Xiuhua Fan. Discuss the safety and feasibility of laparoscopic oophorectomy approach after abdominoplasty[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(03): 189-192.

目的

探讨腹壁整形术后患者发现卵巢肿物并选择新脐与原腹壁整形瘢痕手术入路的安全性和可行性。

方法

腹腔镜术前评估患者腹壁整形术后状态，并结合相关文献，与患者充分沟通后，选择新脐与原腹壁整形瘢痕入路开展手术。

结果

腹腔镜穿刺入路选择新脐与原瘢痕入路，顺利建立气腹，完整剥除卵巢肿物，术中病理结果为交界性卵巢肿瘤(borderline ovarian tumors, BOT)，术后第2日出院，1周后随访，切口愈合良好，术后1个月随访，体象量表评分(body image scale, BIS)5分，美容评分(cosmetology score, CS)23分。

结论

腹壁整形术后患者行腹腔镜手术，选择新脐与原腹壁整形瘢痕入路具有安全性与可行性，可于临床推广应用。

关键词: 腹壁整形术, 腹腔镜手术, 卵巢肿物切除术, 交界性卵巢肿瘤
Objective

To investigate the safety and feasibility of surgical approach in ovarian fibroma after abdominoplasty.

Methods

Assess the patient′s preoperative condition before laparoscopy, communicate with the patient, and review the relevant literature, to choose the new umbilicus and the original abdominal wall plastic scar as laparoscopic surgery approach.

Results

Laparoscopic puncture access was selected through the new umbilicus and the original scar route. The pneumoperitoneum was successfully established, and the ovarian tumor was completely excised. Intraoperative pathological findings suggested a right ovarian borderline ovarian tumor (BOT). The patient was discharged on the second postoperative day. Follow-up one week later showed good wound healing. At one-month postoperative follow-up, body image scale (BIS) score of 5, and a cosmetology score (CS) of 23.

Conclusions

Postoperative patients who have undergone abdominoplasty can safely undergo laparoscopic surgery by choosing the new umbilical and original abdominal wall plastic scar as the access route.

Key words: Abdominoplasty, Laparoscopic surgery, Oophorectomy, Borderline ovarian tumors
图1 腹腔镜术前评估注：A.腹壁整形术前腹壁；B.腹壁整形术后"M"型陈旧瘢痕；C.腹腔镜术前评估腹壁
图2 手术关键步骤注：A.腹腔镜置镜探查腹盆腔；B.右侧卵巢肿物；C.剥除右侧卵巢肿物；D.缝合右侧卵巢
图3 腹腔镜术中及术后影像资料注：A.腹腔镜术中入路；B.腹腔镜术后腹壁；C.卵巢肿物标本；D.术后1周腹壁切口形态
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